Ɛtɔ mmere bi a, oprehyɛn anaa aduruyɛ mu tebea afoforo nti, ɛsɛ sɛ woyi yɛn dwensɔtwaa ketewa no fã bi fi hɔ. Eyi betumi ama nipadua no ntumi nnye aduannuru ne nsu a ɛwɔ aduan a yedi na yɛnom no mu yiye. Eyi ne nea yɛfrɛ no dwensɔtwaa tiaa mu yare, anaa `Short Bowel Syndrome (SBS). Aduru soronko bi a ebetumi aboa wo wɔ tebea a ɛte saa mu ne `Teduglutide`. Enti ɛnnɛ, momma yɛnka saa `Teduglutide` injection yi ho asɛm, sɛnea wɔde di dwuma, ne nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho.
Dɛn ne Teduglutide?
Sɛ yɛbɛka no tiawa a, `Teduglutide` yɛ aduru a wɔde sa nnipa a wɔwɔ `Short Bowel Syndrome`. Esiane sɛ wo dwensɔtwaa yɛ tiaa nti, ɛyɛ den sɛ wobɛtwe aduannuru afi aduan mu sɛnea ɛsɛ. Fa wo dwensɔtwaa sɛ ɔponkɛse. Wɔ oprehyɛn akyi no, saa ɔpon no kɛse so atew. `Teduglutide` ma saa sponge ketewa no nya `boost` sɛnea ɛbɛyɛ a ebetumi atwe nsu ne aduannuru yiye.
Eyi boa wo nipadua ma ɛtwe aduannuru ne nsu pii fi aduan ne anonne mu. Ne saa nti, ebia nnipa binom nhia aduannuru a wɔde fa ntini mu (a wɔde fa nsukorabea mu aduan) pii. Wɔ Sri Lanka no, wobetumi anya saa aduru yi wɔ din `Gattex` ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi saa ayaresa yi ase no, ɛho hia yiye sɛ wo ne wo duruyɛfo susuw w’akwahosan ho abakɔsɛm a edi mũ ho. Ɛho hia sɛ woka saa nneɛma yi ho asɛm na ama woanya ahobammɔ.
| So wowɔ saa tebea horow yi? | Dɛn nti na amanneɛbɔ ho hia? |
|---|---|
| Kokoram anaasɛ kokoram ho abakɔsɛm | Ebia saa aduru yi ne kokoram ho asiane ahorow bi wɔ abusuabɔ, enti ɛho hia sɛ oduruyɛfo no hu eyi. |
| Colon polyps a ɛwɔ akyi berɛmo mu | Ɛho hia sɛ woyi saa polyps yi fi hɔ koraa ansa na wɔafi aduru no ase. |
| Gallbladder yare a ɛma obi nya akisikuru | Efisɛ asiane ketewaa bi wɔ aduru yi mu sɛ ɛde ɔhaw ahorow bɛba akisikuru mu. |
| Pancreatic yare a ɛma obi nya dwensɔtwaa | Efisɛ asiane wɔ hɔ sɛ obi benya dwensɔtwaa mu yare. |
| Koma mu yare anaa asaabo mu yare | Wɔ tebea horow yi mu no, ebia ɛho behia sɛ wɔsesa aduru no dodow anaa sɛnea wɔde di dwuma. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Ɛsɛ sɛ wo ne wo duruyɛfo susuw nkɛntɛnso a ebetumi aba abofra a ɔhyɛ yafunu mu no so ho. |
| Sɛ ɛna bi rema ne ba nufu a | Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu wɔ sɛ ebia aduru no nam nufusu so kɔ akokoaa no nkyɛn anaa. |
| Nnuru, nnuan, anaa nneɛma afoforo ho akisikuru | Sɛnea ɛbɛyɛ a wobesiw aduru no ho akisikuru ano. |
Ɔkwan bɛn so ankasa na wɔde saa vaccine yi di dwuma?
Wɔde saa aduru yi ma sɛ aduru a wɔde twitwiw honam ani. Mma ɛnhaw wo, wo duruyɛfoɔ anaa ɔyarehwɛfoɔ a wɔatete no bɛkyerɛ wo sɛdeɛ wobɛma wo ho saa injection yi wɔ fie. Wɔbɛkyerɛkyerɛ biribiara mu fi sɛnea wɔyɛ aduru no so kosi sɛnea wɔde injection no bɛma so.
Nea ɛho hia sen biara no, mfa nnade ne syringe a wɔde adi dwuma ngu nwura mu da. Ɛsɛ sɛ wɔde gu ade titiriw bi a wɔde nnam ayɛ mu. Sɛ wunni bi a, bisa wo duruyɛfo sɛnea wubenya bi.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien bere koro mu da.
Na sɛ midi mfomso fa nneɛma pii nso ɛ?
Sɛ wususuw sɛ woanom aduru yi dodo a, mma wo ho nnyɛ wo hu na frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom aduru yi
Ɛho hia yiye sɛ wo ne wo duruyɛfo nya abusuabɔ a emu yɛ den wɔ ayaresa yi nyinaa mu.
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Kɔ wo duruyɛfo nkyɛn nna a wɔtaa kɔ hɔ kɔhwɛ wo tebea no. Sɛ wo yare no ho sɛnkyerɛnne reyɛ yiye anaasɛ ɛresɛe a, ka kyerɛ wo duruyɛfo.
- Mogya mu nhwehwɛmu: Wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mpɛn pii (mogya adwuma) de hwɛ sɛnea wo nipadua reyɛ adwuma bere a wɔreyɛ ayaresa no.
- Hu kokoram ho asiane ahorow: Wo ne wo duruyɛfo nka asiane a ɛwɔ hɔ sɛ wubenya kokoram ahorow bi (titiriw kokoram a ɛwɔ akyi berɛmo mu) bere a worenom aduru yi no ho nkɔmmɔ pefee. Ɛnyɛ biribiara a ɛsɛ sɛ wosuro, nanso ɛho hia sɛ wohu.
- Polyps: Eyi ho hia yiye. Ansa na wobefi aduru no ase no, ɛsɛ sɛ wɔhwehwɛ wo dwonku mu hwɛ sɛ ebia polyps bi wɔ hɔ anaa. Sɛ ebi wɔ hɔ a, ɛsɛ sɛ woyi fi hɔ. Wo duruyɛfo bɛkɔ so ahwɛ eyinom bere a worenom nnuru no.
Nsunsuanso bɔne a ebetumi afi aduru no mu aba
Te sɛ aduru biara no, Teduglutide betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, bere a afoforo nso abu so. Ɛho hia sɛ wohu eyinom.
| Nneɛma bɔne a efi mu ba no mu nkyekyɛmu | |
|---|---|
| 🚨 Ɛsɛ sɛ wɔbɔ oduruyɛfo amanneɛ ntɛm ara. | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Dwonku a ɛsiw | Yafunu mu akisikuru a emu yɛ den, obi a ontumi nyi nsu anaasɛ mframa nkɔ mu, aduan ho akɔnnɔ a ɛyera, ɔfe. |
| Gallbladder haw ahorow | Ɛyaw a emu yɛ den wɔ yafunu nifa atifi, akisikuru, ɔfe, atiridiinini. |
| Ɔyare a ɛma obi ho hyehye no (Pancreatitis) . | Ɛyaw a emu yɛ den a efi ase wɔ yafunu no mfinimfini na ɛhyerɛn kɔ akyi, ɛyaw a emu yɛ den bere a wɔadi anaa bere a wɔde wɔn nsa aka yafunu no, atiridiinini, akisikuru, ne ɔfe. |
| ✅ Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Yafunu mu a ɛyɛ hyew/yafunu mu yaw | Akisikuru ne ɔfe |
| Kɔkɔɔ, ɛyaw, anaa ɛyaw wɔ baabi a wɔde aduru no guu no | Nsa, nan, anaa nansoaa a ɛho ahonhon |
| Nsɛnkyerɛnne a ɛte sɛ atiridiinini (atiridiinini a ɛtaa ba) . | |
Nnuru afoforo a ebetumi ne Teduglutide adi nkitaho
Saa aduru yi betumi asesa ɔkwan a wo dwensɔtwaa fa so twetwe nnuru afoforo. Enti, ka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo . Titiriw sɛ worenom nnuru a edidi so yi mu biara a:
- Nnuru bi a ɛma adwene mu dwo anaa ɛma ɔda
- Nnuru a wɔde sa akisikuru (te sɛ `carbamazepine`, `phenobarbital`, `phenytoin`) .
- Nnuru a ɛma nipadua no tumi ko tia nyarewa te sɛ `Cyclosporine`, `Sirolimus`, `Tacrolimus`
- Nnuru a wɔde sa komayare te sɛ `Digoxin` ne `Quinidine`
- Mogya a ɛma mogya tu te sɛ `Warfarin`
- `Lithium`
- `Theophylline` anaa `aminophylline`
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛbɛyɛ papa sɛ wobɛka biribiara a worenom ho asɛm akyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Teduglutide yɛ aduru titiriw a wɔde twitwiw nipadua no mu a ɛboa ma nipadua no twetwe aduannuru ma nnipa a wɔwɔ Short Bowel Syndrome.
- Ansa na wubefi ayaresa ase no, hwɛ hu sɛ wobɛka kokoram, akyi berɛmo mu ntini a ɛyɛ mmerɛw, anaa ayaresa tebea afoforo biara a wowɔ ho asɛm akyerɛ wo duruyɛfo.
- Sua sɛnea wode vaccine no bedi dwuma yiye. Tow nnade a wode adi dwuma no gu dwoodwoo.
- Sɛ wo yafunu mu yɛ wo yaw kɛse anaasɛ wo ho yɛ wo hyew (honam ani akisikuru, ɛho ahon) a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nnkyɛ obi foforo da.
- Sɛ wowɔ nsɛmmisa bi fa saa aduru yi ho a, nsuro sɛ wo ne wo duruyɛfo bɛkasa.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Yareɛ bɛn na wɔde Teduglutide / Gattex vaccine no di dwuma?
Eyi yɛ aduru a ɛntaa nsi koraa, nanso egye nkwa! Wɔkyerɛw ma nnipa a wɔwɔ ‘Short Bowel Syndrome (SBS)’. Eyi kyerɛ sɛ nnipa a wɔayi wɔn dwensɔtwaa fã kɛse esiane yare/oprehyɛn bi nti, ɛsɛ sɛ wɔkɔ so ma wɔn aduan fa ntini mu (IV/TPN) efisɛ wontumi nnye aduan bere a wɔadi mpo awie no. Wɔde saa aduru yi gu yafunu no mu da biara, ɛma dwensɔtwaa ketewa no trɛw na ɛma ɛyɛ kɛse, na ɛsakra ɔkwan a wɔfa so twetwe aduan.
💬 Ɔkwan bɛn so na saa aduru yi (Teduglutide) ma dwensɔtwaa a aka no yɛ kɛse/nyin?
Saa vaccine yi ne hormone (GLP-2) a yɛn dwensɔtwaa fi awosu mu yɛ no yɛ pɛ koraa! Eyi, sɛ wɔde ma wie a, ɛhyɛ nkwammoaa a aka wɔ dwensɔtwaa ketewa no mu no ma ‘ɛhyɛ mucosal nyin ho nkuran’. Eyi ma dwensɔtwaa no mu fã kɛse yɛ kɛse na ɛma ɛyɛ den. Eyi ma nipadua no tumi twetwe aduan ne nsu a yedi no 100%, na ɛma yegyae aduan a yɛde fa ntini (TPN) mu ma.
💬 Asiane bɛn na ɛwɔ hɔ ma wɔn a wɔde saa aduru a wɔde nyinsɛn dwensɔtwaa (Gattex) a ɛyɛ dɔla ɔpepem pii yi gu wɔn mu?
Asiane kɛse ne sɛ eyi ma dwensɔtwaa no ‘nyin wɔ ɔkwan a ɛnteɛ so’, na ɛde wo to asiane kɛse mu sɛ wubenya ‘kokoram foforo (Cancer / Polyps)’ wɔ dwensɔtwaa no mu! Enti, akyinnye biara nni ho sɛ ɛsɛ sɛ wɔn a wɔyɛ saa adeyɛ yi yɛ colonoscopy asram 6 biara de hwɛ dwensɔtwaa no mu denam mfoninitwa afiri so. Ade foforo a ɛyɛ hu ne sɛ eyi betumi ama abo ayɛ wɔ dwensɔtwaa/akisikuru mu na asiw dwensɔtwaa no ano koraa (Intestinal Obstruction).
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